Medical paper due this Sunday.
stacey6133
module_5-_portfolio_milestone.rtfOutline
Introduction: The Joint Commission adopted a formal Sentinel Event Policy in 1996 to help hospitals that experience serious adverse events improve safety and learn from those sentinel events. Careful investigation and analysis of Patient Safety Events (events not primarily related to the natural course of the patient’s illness or underlying condition), as well as evaluation of corrective actions, is essential to reduce risk and prevent patient harm. The Sentinel Event Policy explains how The Joint Commission partners with health care organizations that have experienced a serious patient safety event to protect the patient, improve systems, and prevent further harm. (Reword- Joint Commission , 2016)
Thesis statement: Within this paper I will identify and exam two distinct types of sentinel events that frequently occur in healthcare organizations.
The two types of event discussed in this paper:
- Wrong patient, wrong-site or wrong-procedure surgery was the most frequent sentinel event category reviewed by The Joint Commission in the first half of 2013.
- Wrong-patient, wrong-site, wrong-procedure — 60 (Rodak, 2013)
- Delay in treatment — 56 (Rodak, 2013)
I. The factors that influence organizational performance?
A.
B.
II. What accreditation standards or government regulations guide performance and process design aid in sentinel events?
A. Sentinel Event Policy and Procedures
B. A sentinel event is a Patient Safety Event that reaches a patient and results in any of the following
Death
- Permanent harm
- Severe temporary harm and intervention required to sustain life
- General information:
- An event can also be considered sentinel event even if the outcome was not death, permanent harm, severe temporary harm and intervention required to sustain life.
- Such events are called "sentinel" because they signal the need for immediate investigation and response
III. What is the role of the quality or risk manager in addressing the issues?
A.
B.
IV. What processes and techniques can be used to investigate, prevent, and control these types of events now and in the future?
A. Each accredited organization is strongly encouraged, but not required, to report sentinel events to The Joint Commission.
B.
V. What are the measures that can be used to assess the performance of the organization and the risk management plans in this area as it relates to patient safety?
A.
B.
VI. What impact could these events have on organizational performance, compliance, and accreditation?
A.
B.
Conclusion
References:
Joint Commission (2016) Sentinel Event Policy and Procedures. Received from: http://www.jointcommission.org/sentinel_event_policy_and_procedures/" http://www.jointcommission.org/sentinel_event_policy_and_procedures/
Rodak, Sabrina (2013) Top 10 Sentinel Events Reviewed in First Half of 2013. Received from: http://www.beckershospitalreview.com/quality/top-10-sentinel-events-reviewed-in-first-half-of-2013.html" http://www.beckershospitalreview.com/quality/top-10-sentinel-events-reviewed-in-first-half-of-2013.html
